NPIMap

Individual provider Active NPI

Michelle Lynn Bland, APRN, FNP-C

  • Family Nurse Practitioner
  • Rolla, MO
National Provider Identifier
1114675501
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2005028029 Issued in MO
Practice address
1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980
Phone
(573) 458-6326
NPI assigned
Mar 14, 2022
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2005028029 MO Primary

Addresses

Primary practice location

1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980

Mailing address

455 County Road 856
Bunker, MO 63629-8150
Phone (573) 604-2214

Other names 1

  • Shelley Lynn Bland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527001064 MO Practitioner - Nurse Practitioner 3375921604 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Memorial HospitalGroup PAC ID 7012801129, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

35629 Hwy 72
Salem, MO 65560

35629 Hwy 72
Salem, MO 65560-7217
Phone (573) 729-6626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005028029MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Salem Memorial Hospital Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Salem Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Jan 27, 2025 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 210
Rolla, MO 65401
Phone (573) 458-6326

1605 Martin Springs Dr
Ste 230
Rolla, MO 65401
Phone (573) 458-6326

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1114675501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 COUNTY ROAD 856",
            "city": "BUNKER",
            "state": "MO",
            "postal_code": "636298150",
            "telephone_number": "573-604-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MARTIN SPRINGS DR STE 230",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012980",
            "telephone_number": "573-458-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005028029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "BLAND",
            "middle_name": "LYNN",
            "credential": "APRN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.